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COLORADO SPRINGS COLON AND RECTAL SURGERY LLC NPI 1356539605


NPI Information

NPI: 1356539605
Provider Name: COLORADO SPRINGS COLON AND RECTAL SURGERY LLC
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
1625 MEDICAL CENTER PT
SUITE #212
COLORADO SPRINGS, CO
ZIP 80907
Phone: (719) 475-2566
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COLORADO SPRINGS COLON AND RECTAL SURGERY LLC is a colon rectal surgery in Colorado Springs, CO. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. COLORADO SPRINGS COLON AND RECTAL SURGERY LLC NPI is 1356539605. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1625 MEDICAL CENTER PT
SUITE #212
COLORADO SPRINGS, CO
ZIP 80907-731
Phone: (719) 475-2566
Fax: (719) 475-2483

The provider's authorized official is Maria House Javeed .
The authorized official title is President and has the following contact phone number (719) 475-2566.

The enumeration date for this NPI number is 10/11/2007 and was last updated on 11/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal Surgery38764COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C461838MEDICARE PIN
2COA101879MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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